Emphasis in Long Term Care:

Processes of Aging

End-of-Life-Care

Leading and Managing in Long Term Care

University of Maryland

The University of Maryland created a set of three elective web-based geriatric nursing courses, which fit nicely into their already web-based RN-BSN curriculum. The program's students, who are required to take nine elective web credits, and who work primarily in long term care, are eager to take this trio of courses. Anne Marie Spellbring, the nursing school's established geriatrics expert and a certified end-of-life-care trainer, engineered creation of these courses.

Processes of Aging provides an in-depth analysis of specific concepts related to alterations in health of frail older adults and incorporates benchmarks of Best Nursing Practices in Care for Older Adults, developed by the Hartford Institute for Geriatric Nursing. End-of-Life-Care incorporates selected concepts from the End-of-Life-Nursing Education Consortium (ELNEC) curriculum, with a focus on palliative care and pain and symptom management. Leading and Managing in Long Term Care focuses on the skills and principles of management necessary for developing leadership roles in long term care settings.

The courses employ a variety of teaching strategies, such as movie and video analyses, case studies, hyperlinks, poems, interactive diagrams, PowerPoint presentations, virtual field trips and discussion questions. Taught in sequence, the curriculum brings "real world" examples to the students via web format.

For example, in Processes of Aging, a "virtual" field trip to a long term care facility provides the students opportunities to examine the Eden Alternative, an innovative long term care model, where seniors' lives revolve around close and continuing contact with plants, animals and children. The students hear from residents, families and staff about this philosophy of care, and subsequently share impressions on the discussion board.

End-of-Life-Care features a "virtual" palliative care interdisciplinary team meeting. Students experience this unique aspect of end-of-life care planning, by observing virtual team members explaining their unique roles, and then engaging in interdisciplinary discussions. Students then discuss hypothetically, how they might implement such teams in their own work settings.

Leading and Managing in Long Term Care
takes the students to a "virtual" nursing home, with "virtual" residents and staff. Each student assumes the unit's nurse leader role, and relative to one of the virtual residents, solves a delegation dilemma, develops a plan of action for a sudden change in resident status, and creates a restorative care plan. In addition, each student reviews a survey of a nursing home of his/her choice, and writes a quality improvement plan for a nursing problem identified in the survey.

With her Hartford funding, Dr. Spellbring brought an instructional designer on board. She believes strongly that input from this individual is crucial for creating, implementing and sustaining these geriatric web courses. She feels that, with the combined expertise of instructional designer and faculty content experts, the sky's the limit for establishment of these web based geriatric nursing courses.

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